The effect of penile vibratory stimulation on spasticity in spinal cord injured persons
Journal of Rheumatology and Medical Rehabilitation, cilt.15, sa.3, ss.156-160, 2004 (Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 15 Sayı: 3
- Basım Tarihi: 2004
- Dergi Adı: Journal of Rheumatology and Medical Rehabilitation
- Derginin Tarandığı İndeksler: Scopus
- Sayfa Sayıları: ss.156-160
- Anahtar Kelimeler: Penile vibratory stimulation, Spasticity, Spinal cord injury
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Penile vibratory stimulation is the first treatment option for anejaculation in men with spinal cord injury. To date, the effect of penile vibratory stimulation on spasticity has not been studied. The purpose of this study was to determine the effect of penile vibratory stimulation on spasticity in spinal cord injured patients. Ten male spinal cord injury patients were included in the study. They were examined at the baseline, and then 3, 6, 24, and 48 hours later. After their baseline examination, penile vibratory stimulation was performed. The outcome parameters were spasticity (Ashworth scale), spasm frequency, spasm severity, painful spasms, plantar stimulation response, deep tendon reflexes, clonus, and effect on function. Ashworth grade showed a statistically significant decrease at 3 rd and 6 th hour examinations (p=0.001 and p=0.03 respectively with Tukey test). The patients showed a tendency towards having less frequent and less severe spasms throughout the study, however, it did not reach to a statistically significant level. Similarly, clonus showed a nonsignificant decrease during follow-up examinations. The other parameters did not change considerably. Penile vibratory stimulation may contribute to the relief of the spasticity in spinal cord injured men. While treating spasticity all the factors that could affect tonus should be considered.